Available Positions

Case Resolution Facilitator at Skilled Nursing Facility in Queens, New York, United States —

  • Healthcare
  • Skilled Nursing Facility
  • Queens, New York, United States
  • 12/7/19

Job ID: 104048

Job Description

  • Skilled Nursing Facility in Queens looking for a case resolution specialist to join their team
  • Responsibilities will include:
    • Conduct critical analysis of highly complex and sensitive member and provider appeals, injuries and grievances
    • Apply internal policies and procedures, contractual provisions, and regulatory requirements
    • Negotiate/resolve sensitive issues with internal and external parties
    • Present explanation of member’s or provider’s position and concern to management and decision makers
    • Triage cases to resolve them upon initial inquiry to best service the member as well as minimize number of cases escalated to senior management

Qualifications

  • French/Creole speaking required
  • 1+ year of case resolution experience and with healthcare organization required
  • Candidate must type 40 WPM with amazing customer service experience

Apply

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